Individual
HILLEL LAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 630, LOS ANGELES, CA 90024-6997
(310) 825-9011
(310) 825-9012
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A37669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A376690
—
CA
Enumeration date
02/06/2007
Last updated
12/20/2019
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